公开(公告)号：US08449560B2

公开(公告)日：2013-05-28

申请号：US11648708

申请日：2006-12-29

申请人： Alex T. Roth ,  Andrew H. Hancock ,  Chris Pamichev ,  John Gaiser ,  Gary Weller ,  Christopher Julian ,  James Gannoe ,  Craig Gerbi ,  Crystine M. Lee

发明人： Alex T. Roth ,  Andrew H. Hancock ,  Chris Pamichev ,  John Gaiser ,  Gary Weller ,  Christopher Julian ,  James Gannoe ,  Craig Gerbi ,  Crystine M. Lee

IPC分类号： A61B17/08

CPC分类号： A61B17/068 ,  A61B17/0218 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/3474 ,  A61B90/92 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00557 ,  A61B2017/07214 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/306 ,  A61B2090/0811 ,  A61F5/0083

摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position, and a moveable barrier is disposed between the cartridge and anvil members to help acquire a dual fold of tissue. The tissue treatment device can be repositioned to form multiple plications within the organ.

摘要翻译： 描述用于组织采集和固定或胃成形术的装置和方法。 通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。 附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。 盒构件和砧构件可在关闭位置和打开位置之间移动，并且可移动屏障设置在盒和砧座构件之间，以帮助获得组织的双重折叠。 组织处理装置可以重新定位以在器官内形成多次发作。

公开(公告)号：US08252009B2

公开(公告)日：2012-08-28

申请号：US11324135

申请日：2005-12-29

申请人： Gary Weller ,  Alex T. Roth ,  Christopher Julian ,  James Gannoe ,  Andrew H. Hancock ,  Craig Gerbi ,  Crystine M. Lee

发明人： Gary Weller ,  Alex T. Roth ,  Christopher Julian ,  James Gannoe ,  Andrew H. Hancock ,  Craig Gerbi ,  Crystine M. Lee

IPC分类号： A61B17/08

CPC分类号： A61B17/072 ,  A61B17/0218 ,  A61B17/07207 ,  A61B17/105 ,  A61B17/29 ,  A61B17/3474 ,  A61B90/92 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00557 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/07271 ,  A61B2017/306 ,  A61B2090/0811 ,  A61F5/0086

摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position relative to one another, and the cartridge member is re-loadable with a removable staple cartridge to form multiple plications within the organ with the same tissue treatment device.

摘要翻译： 描述用于组织采集和固定或胃成形术的装置和方法。 通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。 附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。 药筒构件和砧座构件可在相对于彼此的关闭位置和打开位置之间移动，并且药筒构件可再用可拆卸钉仓重新装载，以在具有相同组织处理装置的器官内形成多次发。。

公开(公告)号：US08784306B2

公开(公告)日：2014-07-22

申请号：US11955079

申请日：2007-12-12

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

公开(公告)号：US08454503B2

公开(公告)日：2013-06-04

申请号：US11282320

申请日：2005-11-17

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

公开(公告)号：US09186268B2

公开(公告)日：2015-11-17

申请号：US13410810

申请日：2012-03-02

申请人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, Jr. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

发明人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, Jr. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

IPC分类号： A61B17/08 ,  A61B17/04 ,  A61F5/00 ,  A61B17/072 ,  A61B17/11 ,  A61B17/29 ,  A61B1/313 ,  A61B17/00 ,  A61B17/30 ,  A61B19/00

CPC分类号： A61F5/0083 ,  A61B1/3132 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00876 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/1103 ,  A61B2017/2905 ,  A61B2017/306 ,  A61B2090/08021 ,  A61F5/005 ,  A61F5/0076

摘要： A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.

摘要翻译： 本文描述了用于组织近似和固定的系统。 装置以微创方式在患者身体内前进，以在中空身体器官内产生一个或多个分裂或症状。 该系统包括具有组织采集构件和组织固定构件的吻合器组件。 缝合器组件使用采集构件从中空身体器官内的组织近似，然后将近似组织固定在固定构件上。 在一种方法中，该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。

公开(公告)号：US08939902B2

公开(公告)日：2015-01-27

申请号：US13326709

申请日：2011-12-15

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B17/072 ,  A61B17/00 ,  A61B17/30

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

摘要翻译： 用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。 医疗装置包括具有近端和远端的细长主体，以及连接到细长主体的远端的组织处理装置。 组织处理装置包括与第二钳口相对的第一钳口，并且每个钳口适于获取组织。 牵开器沿着组织处理装置设置并适于从输送位置移动到缩回位置以移动或管理胃的组织。 医疗装置还包括设置在组织处理装置的第一和第二钳口之间的可折叠屏障，以将组织分别引导到第一和第二钳口中。

公开(公告)号：US08092378B2

公开(公告)日：2012-01-10

申请号：US11955057

申请日：2007-12-12

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

摘要翻译： 用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。 医疗装置包括具有近端和远端的细长主体，以及连接到细长主体的远端的组织处理装置。 组织处理装置包括与第二钳口相对的第一钳口，并且每个钳口适于获取组织。 牵开器沿着组织处理装置设置并适于从输送位置移动到缩回位置以移动或管理胃的组织。 医疗装置还包括设置在组织处理装置的第一和第二钳口之间的可折叠屏障，以将组织分别引导到第一和第二钳口中。

公开(公告)号：US08795166B2

公开(公告)日：2014-08-05

申请号：US12979242

申请日：2010-12-27

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

摘要翻译： 用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。 医疗装置包括具有近端和远端的细长主体，以及连接到细长主体的远端的组织处理装置。 组织处理装置包括与第二钳口相对的第一钳口，并且每个钳口适于获取组织。 牵开器沿着组织处理装置设置并适于从输送位置移动到缩回位置以移动或管理胃的组织。 医疗装置还包括设置在组织处理装置的第一和第二钳口之间的可折叠屏障，以将组织分别引导到第一和第二钳口中。

公开(公告)号：US08403838B2

公开(公告)日：2013-03-26

申请号：US11954649

申请日：2007-12-12

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

公开(公告)号：US20120165844A1

公开(公告)日：2012-06-28

申请号：US13410810

申请日：2012-03-02

申请人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, JR. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

发明人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, JR. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

IPC分类号： A61B17/11

CPC分类号： A61F5/0083 ,  A61B1/3132 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00876 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/1103 ,  A61B2017/2905 ,  A61B2017/306 ,  A61B2090/08021 ,  A61F5/005 ,  A61F5/0076

摘要： A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.

摘要翻译： 本文描述了用于组织近似和固定的系统。 装置以微创方式在患者身体内前进，以在中空身体器官内产生一个或多个分裂或症状。 该系统包括具有组织采集构件和组织固定构件的吻合器组件。 缝合器组件使用采集构件从中空身体器官内的组织近似，然后将近似组织固定在固定构件上。 在一种方法中，该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。